Acute Gastroenteritis in Children of the World: What Needs to be Done?

Guarino, Alfredo; Smarrazzo, Andrea; Treepongkaruna, Suporn; Broekaert, Ilse; Vazquez-Frias, Rodrigo; Berkley, James; Meskini, Toufik; Sandhu, Bhupinder; Moore, Sean; Rivera Medina, Juan F.; Holtz, Lori; Aguilar, Juliet; Lo Vecchio, Andrea; Szajewska, Hania

dc.contributor.author	Guarino, Alfredo
dc.contributor.author	Aguilar, Juliet
dc.contributor.author	Berkley, James
dc.contributor.author	Broekaert, Ilse
dc.contributor.author	Vazquez-Frias, Rodrigo
dc.contributor.author	Holtz, Lori
dc.contributor.author	Lo Vecchio, Andrea
dc.contributor.author	Meskini, Toufik
dc.contributor.author	Moore, Sean
dc.contributor.author	Rivera Medina, Juan F.
dc.contributor.author	Sandhu, Bhupinder
dc.contributor.author	Smarrazzo, Andrea
dc.contributor.author	Szajewska, Hania
dc.contributor.author	Treepongkaruna, Suporn
dc.date.accessioned	2020-07-14T00:01:14Z
dc.date.available	2020-07-14T00:01:14Z
dc.date.issued	2020
dc.identifier.uri	https://hdl.handle.net/20.500.12866/8300
dc.description.abstract	The incidence of gastroenteritis has greatly reduced due to improved hygiene conditions in developing countries and the use of rotavirus vaccine. Still thousands of children, however, die from gastroenteritis, most of them in poor countries. Yet gastroenteritis management is simple, inexpensive, and effective and is largely the same all over the world. Universal guidelines for gastroenteritis guide the management and include simple interventions put forward early in the course of the disease. Treatment includes rehydration, continuing oral feeding, and anti-infective drugs in selected clinical conditions related to the symptoms or to host-related risk, and possible additional drug treatment to reduce the duration and severity of symptoms. There may be minor geographical differences in the treatment applied due to health care organizations that do not substantially change the standard universal recommendations. Prevention is recommended with sanitation interventions and rotavirus universal immunization. Implementation of those interventions through educational initiatives and local programs in target areas are needed. A series of recommendations for interventions, education, and research priorities are included here with the aim of reducing the burden of gastroenteritis, to be pursued by scientists, physicians, policy makers, and stakeholders involved. They include the need of recommendations for the management of gastroenteritis in malnourished children, in those with chronic conditions, in neonates, and in emergency settings. A reference system to score dehydration, the definition of optimal composition of rehydration solution and the indications for anti-infective therapy are also included. Rotavirus immunization should be actively promoted, and evidence-based guidelines should be universally implemented. Research priorities are also indicated.	en_US
dc.language.iso	eng
dc.publisher	Wiley
dc.relation.ispartofseries	Journal of Pediatric Gastroenterology and Nutrition
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	gastroenteritis	en_US
dc.subject	implementation	en_US
dc.subject	prevention	en_US
dc.subject	rotavirus	en_US
dc.title	Acute Gastroenteritis in Children of the World: What Needs to be Done?	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1097/MPG.0000000000002669
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.03
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.19
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.04
dc.relation.issn	1536-4801